Pelvic Health & Wellness

Pelvic Health & Wellness

Pelvic Health & Wellness


The pelvic floor consists of skin, muscles, ligaments, nerves, connective tissues, blood vessels, and organs in your pelvis. The pelvic floor provides stability for your pelvic girdle and spine and supports your bladder, rectum, and pelvic organs, including your uterus and vagina.

Pelvic floor disorders are conditions that affect the components of the pelvic floor, causing uncomfortable symptoms.

If you or a loved one are suffering from a pelvic floor disorder, the Pelvic Health & Wellness Program at FYZICAL Sequim can help manage your symptoms and get you back to doing what you love.

Types of Pelvic Floor Disorders

Bladder Control Problems

Affects 35% of all women, 50% of women over the age of 65, and 25% of all men.
  • Urinary incontinence (unintentional leaking of urine)
  • Urinary urgency (strong urge to urinate)
  • Urinary frequency (urinating more than 8 times in 24 hours)
  • Nocturia (waking up more than once during the night to urinate)
  • Slow or weak urine stream
  • Difficulty emptying the bladder
  • Pelvic organ prolapse (cystocele or uterine prolapse)List Item

Bowel Control Problems

  • Constipation and difficulty passing stool
  • Fecal incontinence (unintentional leaking of stool)
  • Fecal urgency (strong urge to have a bowel movement)
  • Pelvic organ prolapse (rectocele)

Pelvic Pain Problems

  •  Pelvic pain and sacroiliac joint pain
  • Bladder pain (painful urination, pain after urination, interstitial cystitis)
  • Pain with bowel movements (colorectal pain)
  • Abdominal pain
  • Painful abdominal scars (myofascial tightness, muscle tenderpoints, abdominal nerve entrapments, trigger points)
  • Dyspareunia (pain before, during, or after intercourse)
  • Coccydynia (pain in area of tailbone)
  • Vulvar pain (pain in the perineum near the opening of the vagina - also called vulvodynia, vestibulodynia)
  • Pressure, pain or feeling of bulging in perineum from organ prolapse (rectocele in men and women, bladder and uterus in females)
  • Prostatitis (inflamation of the prostate in males)
  • Post-prostatectomy issues

Pregnancy-Related Problems

Affects 50-70% of women during pregnancy, and 30-50% during postpartum recovery
  • Pelvic girdle and back pain
  • Diastasis rectus abdominis (pregnancy-related widening of the abdominal wall)
  •  Sacroiliac joint pain (joints in the ring of the pelvis)
  • Coccyx pain (tailbone pain)
  •  Pubic symphysis dysfunction (part of the ring of pelvis)
  • Cesarean section complications
  • Perineal injuries during delivery (episiotomy, perineal tears)
  • Painful intercourse after vaginal delivery
  • Postpartum perineal pain or dysfunction in pelvis area
  • Pelvic floor muscle weakness (during and after deliver) contributing to incontinence and prolapse.

Benefits of Pelvic Health & Wellness

Pelvic health and wellness are essential for your overall health and well-being. Having a healthy pelvic floor ensures that you have good bladder and bowel control and allows you to live an active lifestyle without worrying about uncomfortable and embarrassing symptoms.

Symptoms of pelvic floor disorders are not only uncomfortable but can be embarrassing and affect your daily activities. Pelvic floor physical therapy is highly effective for treating pelvic floor disorders. With the help of the trained physical therapists at FYZICAL Sequim, you can maintain a healthy pelvic floor and enjoy life again.

If you or a loved one are suffering from symptoms of a pelvic floor disorder, contact us to learn more about our Pelvic Health & Wellness Program.

Symptoms of Pelvic Floor Disorders

Symptoms of pelvic floor disorders vary depending on the type and severity of the disorder. Common symptoms of pelvic floor disorders include urinary and bowel issues. Urinary problems may include urinary incontinence (leaking urine), urinary urgency (strong urge to urinate), urinary frequency (urinating more often than normal), or difficulty emptying your bladder. Bowel problems that may occur include constipation, fecal incontinence (leaking stool), or difficulty passing stool.

In addition to urinary and bowel issues, you may have pelvic pain, pressure, or a feeling of heaviness, which may be worse with certain activities such as prolonged standing, lifting, or coughing. You may also notice a bulging of your pelvic organs, such as your uterus or bladder, from your vagina or rectum, which may cause discomfort. Further, you may have pain, reduced sensation, and difficulty with sexual intercourse.